Sleep Medicine
Billing Services
Your financial engine for sleep medicine. Is billing frustrating? With our Sleep Medicine Billing Services, you can use an all-in-one RCM solution. Enjoy open line communications and smooth workflows with practice and billing partnerships. Enjoy rapid credentialing and a denial defense that fights for you.
Outsource Sleep Medicine RCM Services To Medicotechlllc
Your practice shouldn’t lose revenue chasing the split billing rules for the technical (TC) and professional (PC) components. We transform your RCM from a reactive task into a proactive financial strategy. We designed RCM specifically for sleep studies and DME POS. Medicotechllc is nimble. We don’t just process claims; we understand the intricate details of codes like 95811, MSLT authorizations, and PAP therapy compliance. Our team manages the entire cycle, from securing HSAT approvals to billing CPAP machines (E0601) to meeting compliance supplier standards, and everything in between. We are your financial diagnostics so you can keep your focus on the clinical diagnostics that change your patients’ lives.
Sleep Medicine Billing Services We Offer
Medical Billing
We take the stress out of getting paid. Seriously. For your sleep practice, we take care of all the billing from getting your claims submitted perfectly the first time, to chasing down every dollar owed, to getting paid. Your cash flow will be steady and maximized, and we will keep your cash flow from getting stagnant by jumping on denials aggressively.
Insurance Credentialing
We manage the messy, endless process of getting and keeping your sleep physicians and facility properly enrolled with all the major insurance companies. This means you can focus on treating patients without worrying if you’re actually authorized to bill for it. Dealing with insurance paperwork is a nightmare; let us handle it.
Medical Coding
Avoiding headaches later on is all about getting the right code. We use certified coders who are total experts in sleep medicine, they know the ins and outs of coding for everything from a routine CPAP follow up to complex polysomnography studies. With proper coding, compliance is assured and you can be rest assured that you will get paid what you owe.
Revenue Cycle Management
Think of it like managing the financial heartbeat of your practice. We apply our billing and coding skills to organize the entire operation and find the areas of revenue leakage to ensure a robust and predictable revenue stream you can always rely on.
Benefits to Hire MEDICOTECHLLC
- Accelerated Cash Flow: Improved speed and predictability on revenue coming in.
- Superior Claim Acceptance: Maintain a stellar First-Pass Rate (FPR) for immediate claim approvals.
- Minimal Payment Delays: We assist in reducing your Accounts Receivable (A/R) backlog.
- High Collection Yield: Expert strategies provide returns on your overall collections.
- Zero Coding Errors: Claims will be submitted and maintained with zero coding errors.
- Flexible Fee Structure: Designed to optimize your profit for the month after our services are paid.
Complete Solution for PSG, MSLT and DME
- Precision for Sleep Diagnostics (PSG/MSLT): We sort through the complex coding rules, use split billing and global modifiers accurately to assure you the highest, correct payment for your diagnostic and titration services.
- Mastery of Durable Medical Equipment (DME): We take care of the detailed paperwork needed for the compliance of CPAP, BiPAP, and supply refills. We have learned how to avoid the mistakes made usually in billing for ongoing treatment and how to get paid quickly for the equipment patients depend on.
- Proactive Authorization and Follow-up: We handle the difficult pre-authorization for DME as well as other high-cost procedures. We do this to determine if there will be any front-end denials, and to make sure the revenue cycle is consistent from treatment to testing.
What Our Clients Achieve with Our Services
Increased Cashflow
Net Collection Rate
First Pass Clean Claims Rate
Reduction in AR
Specialties
Client Success Rate
Sleep Medicine Medical Billing Solutions
Compliance in Safeguarding Patient Data
We protect your patients from unauthorized access to their sleep records and billing information. We protect your practice from having your records being accessed inappropriately by declaring no unauthorized access to records is allowed under HIPAA.
Claim Audit-Proofing
We only submit codes that are 100% supported by detailed diagnostic reports, consultation notes, and treatment plans. This meticulous approach to documentation ensures every claim is ready to withstand an audit, validating the medical necessity of your sleep services.
Drifting Understanding
ICD and CPT code systems are constantly evolving, just like sleep study (PSG, MSLT) and DME. systems are constantly evolving. Within each year, we implement changes to ensure your reimbursement rates remain accurate.
Specialized Knowledge
Our coders understand the specific and unique ICD codes related to sleep disorders (sleep apnea, restless legs, and narcolepsy). Their expertise across multiple specialties ensures the correct use of codes and helps prevent confusion and unnecessary claim denials.
Value of Certification
All certified coders (AAPC/CCA) are integrated into the revenue cycle of your account. This investment balances the risk as we ensure the consistent and competent caliber of coding. This ultimately streamlines the submission and optimizes the revenue cycle daily.
Benefits of our Sleep Medicine billing services
Choosing a service equals a guarantee of worth. We are proud of what we accomplish, and this is a guarantee that we will deliver. We will supply the promise of performance.
- Our guarantee: No Transparency, No Closure. You will receive detailed reports outlining each claim submitter, your payment collections, each followed we attempt to follow up, and all the payments collected. No hidden fees, no confusing jail, no excuses, stomp facts.
- Sleep Experts Who Care: You won’t be passed around different departments. One billing specialist will work with you. They understand your sleep practice, payers, and your needs inside and out.
- Risk-Free Collaboration: We guarantee your cash flow will increase so much, we base our fees on your revenues. If you don’t collect, we won’t charge you.
Frequently Asked Questions
Why does your expertise in billing for sleep services increase my revenue?
You lose revenue when you don’t understand the sleep billing niche. We avoid this with split billing for PSG, MSLT authorizations, and correct DME (CPAP/BiPAP) coding. That is why we have a high First-Pass Rate (FPR) and a Net Collection Rate (NCR).
What kind of financial results can I realistically expect to see?
Our system shows your A/R days will decline. We have proven our claims with client results, and you will see a positive cash flow increase. You will also see a 96% First Pass Clean Claims Rate.
Will my current EHR/EMR software work with your billing system?
Definitely. We promise no worries on your end. We integrate with the top EHR systems in the industry. We make the transition as painless as possible without you having to replace your current software.
How do you protect us from compliance issues and audits?
We work as your compliance shield. We work only with HIPAA-compliant regulations, and every code we submit is backed by detailed documentation, which 100% audits proofed. We eliminate coding drift and reduce your risk exposure.
What is your process when a claim is denied, and how is your fee structured?
We work every denial with a follow-up process. Our Risk-Free Partnership backs extraordinary commitment and results. With our competitive fee, we only profit when you do.